• Int. J. Clin. Pract. · Apr 2021

    Impaired thiol/disulfide homeostasis in children with steroid-sensitive nephrotic syndrome.

    • Kenan Yılmaz, Gökhan Çakırca, and Özcan Erel.
    • Department of Pediatric Nephrology, Sanliurfa Training and Research Hospital, Sanliurfa, Turkey.
    • Int. J. Clin. Pract. 2021 Apr 1; 75 (4): e13794.

    BackgroundAbnormal thiol/disulphide homoeostasis (TDH) is responsible for the pathogenesis of various diseases. We aimed to examine the TDH in children with steroid-sensitive nephrotic syndrome (SSNS).MethodsA total of 131 children, 60 with SSNS and 71 healthy controls, participated in the study. Plasma total thiol (TT), native thiol (SH) and disulphide (SS) levels in the SSNS during remission and control groups were estimated using a new method developed by Erel and Neselioglu.ResultsAlbumin, TT, SH levels and SH/TT ratio were decreased, whereas SS/SH and SS/TT ratios were elevated in SSNS group compared with control group. However, there was no significant difference in SS levels between the two groups. Albumin level was positively correlated with TT, SH and SS levels in the SSNS group.ConclusionsWe found that TDH shifts in favour of oxidants in children with SSNS in remission. This shift indicates that SSNS patients are exposed to augmented oxidative stress.© 2020 John Wiley & Sons Ltd.

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